PrimeWest Health policies, page 3

Search PrimeWest Health's public medical, payment and drug policies by CPT or HCPCS code, keyword or policy number, with links to the payer's own documents. Links open the payer's own document; check its current version before relying on it.

141 public policies Substrate tracks for PrimeWest Health, by title.

PrimeWest Health policies
PolicyDetailsCodesSource
Medical, Dental & Pharmacy > Medical > Personal Care Assistance (PCA) Services > Qualified ProfessionalsPW_11-19_578 · Effective Feb 28, 2025 · Medicaid · MN—Original policy ↗
Medical, Dental & Pharmacy > Medical > Personal Care Assistance (PCA) Services > Shared CarePW_11-19_579 · Medicaid · MN—Original policy ↗
Medical, Dental & Pharmacy > Medical > Physician and Professional ServicesMedicaid · MN1Original policy ↗
Medical, Dental & Pharmacy > Medical > Physician and Professional Services > BillingPW_11-18_490 · Effective Nov 8, 2018 · Medicaid · MN—Original policy ↗
Medical, Dental & Pharmacy > Medical > Physician and Professional Services > Covered ServicesMedicaid · MN47Original policy ↗
Medical, Dental & Pharmacy > Medical > Physician and Professional Services > Non-Covered ServicesPW_11-18_489 · Effective May 31, 2024 · Medicaid · MN—Original policy ↗
Medical, Dental & Pharmacy > Medical > Recuperative CareEffective Aug 1, 2026 · Medicaid · MN1Original policy ↗
Medical, Dental & Pharmacy > Medical > Rehabilitation ServicesMedicaid · MN—Original policy ↗
Medical, Dental & Pharmacy > Medical > Rehabilitation Services > Augmentation Communication DevicesPW_11-19_585 · Medicaid · MN9Original policy ↗
Medical, Dental & Pharmacy > Medical > Rehabilitation Services > AuthorizationPW_11-19_584 · Medicaid · MN6Original policy ↗
Medical, Dental & Pharmacy > Medical > Rehabilitation Services > BillingMedicaid · MN285Original policy ↗
Medical, Dental & Pharmacy > Medical > Rehabilitation Services > Non-Covered ServicesPW_11-19_587 · Effective Oct 29, 2020 · Medicaid · MN—Original policy ↗
Medical, Dental & Pharmacy > Medical > Renal DialysisMedicaid · MN—Original policy ↗
Medical, Dental & Pharmacy > Medical > Restricted Recipient ProgramPW_11-19_589 · Effective Dec 18, 2025 · Medicaid · MN—Original policy ↗
Medical, Dental & Pharmacy > Medical > School-Based Community ServicesEffective Jul 1, 2021 · Medicaid · MN—Original policy ↗
Medical, Dental & Pharmacy > Medical > Substance Use DisorderMedicaid · MN4Original policy ↗
Medical, Dental & Pharmacy > Medical > Substance Use Disorder > BillingMedicaid · MN11Original policy ↗
Medical, Dental & Pharmacy > Medical > Substance Use Disorder > Non-Covered ServicesPW_11-19_591 · Effective Aug 21, 2026 · Medicaid · MN—Original policy ↗
Medical, Dental & Pharmacy > Medical > Substance Use Disorder > SBIRTPW_11-19_593 · Effective Aug 21, 2026 · Medicaid · MN9Original policy ↗
Medical, Dental & Pharmacy > Medical > Telehealth ServicesMedicaid · MN1Original policy ↗
Medical, Dental & Pharmacy > Medical > TransportationPW_11-19_594 · Effective Aug 13, 2025 · Medicaid · MN—Original policy ↗
Medical, Dental & Pharmacy > Medical > Transportation > AmbulanceMedicaid · MN1Original policy ↗
Medical, Dental & Pharmacy > Medical > Transportation > Authorization RequirementsPW_11-19_597 · Effective Apr 25, 2023 · Medicaid · MN—Original policy ↗
Medical, Dental & Pharmacy > Medical > Transportation > BillingMedicaid · MN3Original policy ↗
Medical, Dental & Pharmacy > Medical > Transportation > Community Emergency Medical Technician (CEMT) ServicesPW_11-19_598 · Effective Apr 27, 2020 · Medicaid · MN1Original policy ↗
Medical, Dental & Pharmacy > Medical > Transportation > Community Paramedic ServicesPW_11-19_599 · Effective Nov 20, 2023 · Medicaid · MN1Original policy ↗
Medical, Dental & Pharmacy > Medical > Transportation > Covered ServicesMedicaid · MN—Original policy ↗
Medical, Dental & Pharmacy > Medical > Transportation > Non-CoveredPW_11-19_602 · Effective Feb 24, 2023 · Medicaid · MN—Original policy ↗
Medical, Dental & Pharmacy > Medical > Transportation > PrimeWest Health Administered NEMTMedicaid · MN2Original policy ↗
Medical, Dental & Pharmacy > Medical > Tribal and Federal Indian Health ServicesMedicaid · MN—Original policy ↗
Medical, Dental & Pharmacy > Medical > Tribal and Federal Indian Health Services > BillingMedicaid · MN—Original policy ↗
Medical, Dental & Pharmacy > Medical > Tribal and Federal Indian Health Services > Covered ServicesPW_11-19_606 · Effective Dec 5, 2024 · Medicaid · MN—Original policy ↗
Medical, Dental & Pharmacy > PharmacyMedicaid · MN229Original policy ↗
Medical, Dental & Pharmacy > Pharmacy > Clinical Pharmacy DeterminationsMedicaid · MN—Original policy ↗
Medical, Dental & Pharmacy > Pharmacy > FormulariesPW_2011_231 · Effective Jan 9, 2026 · Medicaid · MN—Original policy ↗
Medical, Dental & Pharmacy > Pharmacy > Formulary Exception ProcessMedicaid · MN—Original policy ↗
Medical, Dental & Pharmacy > Pharmacy > Long-Term Care Facilities (Medicare Part A)Medicaid · MN—Original policy ↗
Medical, Dental & Pharmacy > Pharmacy > Medicare Part BPW_11-19_611 · Effective Oct 2, 2023 · Medicaid · MN—Original policy ↗
Medical, Dental & Pharmacy > Pharmacy > Medicare Part DMedicaid · MN17Original policy ↗
Medical, Dental & Pharmacy > Pharmacy > MTMMedicaid · MN3Original policy ↗
Medical, Dental & Pharmacy > Pharmacy > NCPDP Telecommunication Reject CodesMedicaid · MN—Original policy ↗

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Disclaimer

The information provided on this page is for general informational purposes only and does not constitute billing, coding, or reimbursement advice. Nothing on this page should be relied upon as a substitute for clinician assessment, professional billing guidance, or as a definitive statement of any payor's billing requirements or policies.

Payor agreements, fee schedules, and billing policies vary and are subject to change. Before submitting any claims related to maternity care services, including claims affected by the 2027 CPT code revisions, please consult the applicable payor agreements, coverage policies, and billing guidelines to confirm current requirements for their specific payor contracts.

Substrate makes no representation or warranty regarding the accuracy, completeness, or timeliness of the payor-specific information presented here. Providers are solely responsible for ensuring that all claims are submitted in accordance with applicable payor requirements, and Substrate assumes no liability for claim denials, underpayments, or other adverse outcomes arising from reliance on this information.